ORDER FORM

Order Form
NAME
DELIVERY METHOD
Self Pick-Up (Kuching only)
By Post ( Free)
Phone Number
Email
ADDRESS
MSN
ORDER LIST
Leptin Green Coffee 1000 (18 Sachets/box) RM 45
Leptin Cocoa Hot Chocolate@Leptin Green Coffee800 (18 Sachets/box) RM 45
Leptin Weight Loss Plum (15 Pieces/box) RM 45
Leptin Acai Berry ( 18 sachet x10g) RM 45
Leptin HCA Milk Tea (15 sachets x 10g) RM45
Leptin Iced Fruit Tea ( 10g/ sachet, 15 tubs per box ) RM 45
Package 1 (GC1000 x1 + Dried Plum x1) RM 90
Package 2 (GC1000 x2 + Dried Plum x1) RM 135
Package 3 ( GC1000 x1 + Dried Plum x2) RM 135
Package 4 (GC1000 x2+ Dried Plum x2) RM 180
Package 5 (GC1000 x 4 + Dried Plum x2) = RM 270
WHOLESALE
QUANTITY
PAYMENT METHOD
Cash on Delivery (COD)Kuching only
Maybank2u
Public Bank
Ambank
REMARKS
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Saturday, December 31, 2011

DISTRIBUTOR'S LETTER FROM SMART SENSE LEPTIN


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